What is bronchiolitis and what are the symptoms. The disease affects more and more children

Bronchiolitis is a lung infection that commonly occurs in young children and infants. This condition occurs in epidemics, especially in the cold season, like the present one. Pediatrician Ana Maria Daviţoiu tells us how to recognize this disease and what parents must do in such a situation.

“Bronchiolitis is a form of pneumonia which is characteristic of the infant and young child. Small children get bronchiolitis and the slightly older ones. Adults, on the other hand, get pneumonia and bronchitis.

Parents should be alarmed the moment the child loses his well-being. If the little one is different from how he used to be. If he is listless or sleepy or if he is not eating. In other words, it’s like he’s not our child. Then, as a parent, you need to have a big alarm signal.

If bronchiolitis and pneumonia develop, fever also appears, as well as difficult breathing. Among the symptoms of bronchiolitis are cough, heavy breathing or nasal obstruction at the onset of the disease,” said doctor Ana Maria Daviţoiu, on Tuesday, in the column Health Advice with Andreea Cigolea of the Antenna 3 CNN.

Symptoms of bronchitis/bronchiolitis:

  • moderate fever;
  • rhinorrhea/nasal obstruction;
  • initially dry cough, later productive;
  • wheezing;
  • difficulty feeding.

“The wheezing that is characteristic of the pathology may appear, that is, they wheeze when they breathe. When we talk to them at the guard room, we ask them if the wheezing is on inhalation or exhalation, because then we are talking about another condition.

The prevalence has increased a lot since September, which is not usual for Romania. The forms of the disease are moderate and sometimes severe. Quite a few of them are severe. It is important for parents to contact the doctor when the respiratory pathology appears.

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Bronchiolitis risk factors

  • newborns (especially premature)
  • infants young age (1-3 months) due to low immunity
  • children attend the community
  • children related conditions (cardiac/respiratory/allergic/neurological/renal)

I think the preventive measure has to do with infectious contact, to the extent that you expose the child. How many contacts does he have, because they are children of collectivities, that is, they go to school, to kindergartens, do sports.

The other aspect has to do with nutrition. If the child has a good state of immunity, he has more chances to develop easily, not to need hard medical support, i.e. to need oxygen as many of our patients do.

It is very complicated to make the difference between a virus, bronchitis or bronchiolitis. It’s complicated for everyone. By excellence, the virus and the flu are the viral ones. Primary bronchiolitis and pneumonia are viral or with atypical germs, but the hospital segment is with bacterial superinfection. Their evolution is not good.

Complications of bronchiolitis

  • pneumonia;
  • bronchopneumonia;
  • febrile convulsions;
  • metabolic acidosis;
  • bronchial asthma;

From what I have observed, there are two categories of patients. Those who come and tell us that the little one has been sick for some time, that he has been coughing for two or three weeks, and the category of those who come suddenly ill. There are those who have a bad general condition, which changes in 24 hours with fever, respiratory failure, excruciating cough.

For those who decide to treat their children with baby remedies, the message is to turn to professionals. Both we, pediatricians and family doctors, are there for them. Some children need a lot of help.

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Home remedies for bronchiolitis

  • Keep the air moist – a humidifier can help relieve congestion and coughing
  • Support the child in a position as close to vertical as possible – breathing is easier in this elevated position
  • Adequate fluid intake
  • Use sea water for nasal congestion
  • NSAIDs and antipyretics – paracetamol and ibuprofen are fairly safe alternatives for children, which can relieve fever, inflammation, sore throat and stuffy nose
  • Maintain a healthy, smoke-free environment

We can increase immunity with the help of food. There are children who are 2 weeks old, three weeks old and are breastfed. Age is an aggravating factor regarding this condition. It is important to protect them, feed them well and support them through immunoprophylaxis.

Surely a child well fed with quality food and having enough protein to make antibodies, that child will be better. It will be a child who will fight the disease better.

Acute bronchiolitis in children – prevention tips

  • Avoid contact of the child with children diagnosed with respiratory infections
  • Take care of the child’s hygiene
  • do not smoke at all around the child

Very important!
A child with repeated bronchiolitis (more than 3 episodes), cough on exertion, nocturnal cough, allergic terrain, should be evaluated by the pediatrician.

Let’s keep in mind that everything that is not a synthetic substance for immunity requires long and very constant administration.

Wearing a mask, whether we like it or not, limits the transmission of infections in general. It’s not something that was invented in the last 3 years. Wearing a mask has always been.

The epidemiological context led us all to wear a mask. Some with little pleasure, some with very little pleasure, but we must remember that this thing limits illnesses,” said pediatrician Ana Maria Daviţoiu.

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